An older patient is demonstrating delirium since being admitted from a nursing home for treatment of a wound infection. What should the nurse identify as a cause for the patient's delirium?
1. High television volume
2. Intravenous fluid therapy
3. Windowless hospital room
4. Assessments every 4 hours
3
Rationale: Some evidence suggests that sensory deprivation experienced by older adults placed in windowless hospital rooms is associated with higher rates of delirium. High television volume is not associated with delirium.
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A parent states, "My 7-year-old really wants a dog. His 10-year-old brother has allergies to animal dander. I don't know what to do." What type of pet should the nurse suggest as the best choice?
a. A small breed of dog because the large dogs produce more allergens b. An older unneutered dog that produces fewer allergens than a younger one c. A cat because it requires less care and is less allergenic d. A poodle, which does not shed, making it a good choice for people with allergies
The nurse explains to the person with pneumonia in the left lung that being positioned in the "good lung down" offers the advantage of (select all that apply):
a. PaO2 rising in the good lung. b. blood flow to "bad lung" being increased. c. the dependent lung being better perfused. d. dyspnea disappearing. e. decreased hypoxia.
What is a major goal of therapy for children with cerebral palsy (CP)?
a. Cure the underlying defect causing the disorder. b. Reverse the degenerative processes that have occurred. c. Prevent the spread to individuals in close contact with the child. d. Recognize the disorder early and promote optimum development.
A patient has been receiving treatment for status epilepticus for the last 20 minutes
What will the nurse prepare to implement to help the patient at this time? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Prepare for emergency intubation. 2. Insert an indwelling urinary catheter. 3. Monitor body temperature. 4. Obtain an order for a bedside electroencephalogram. 5. Insert an intravenous access line.